BONITA J DRAKE, MD
Dermatology at 3 St, Saint Petersburg, FL

License number
Florida 15815
Category
Osteopathic Medicine
Type
Dermatology
Address
Address
3950 3Rd St N, Saint Petersburg, FL 33703
Phone
(727) 821-0612
(727) 822-5507 (Fax)
National Provider ID: 1811091945
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about BONITA J DRAKE at radaris.com
Name
Address
Phone
Bonita Drake
3950 3Rd St N STE A, St Petersburg, FL 33703
(727) 510-0901
Bonita J Drake
3950 3Rd St, Saint Petersburg, FL 33703
(727) 821-0612
Bonita A Drake, age 79
865 Pirates Cove Ln, Fort Pierce, FL 34949
(772) 461-8312
(772) 882-4694

Organization information

See more information about BONITA J DRAKE at bizstanding.com

BONITA J. DRAKE, M.D., PA

3950 3 St N, Saint Petersburg, FL 33703

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 1, 1980
Inactive since:
Sep 26, 2014
State ID:
689433
Business type:
Florida Profit Corporation
President, Director:
Bonita J Drake President, Director, inactive, 3950 3 St N, Saint Petersburg, FL 33703 (Physical)
Agent:
Bonita Drake,3950-3 St N, Saint Petersburg, FL 33703 (Physical)
EIN:
592027266
Categories:
Physicians & Surgeons
Specialties:
Cancer, Dermatology, Oncology, ...
Brands:
Botox
Products:
Botox, Collagen Injections, Dermatology, ...
Payment options:
American Express, Visa
Certifications:
Certified
Additional:
COLLAGEN, LASER

Professional information

See more information about BONITA J DRAKE at trustoria.com
Bonita J Drake Photo 1
Bonita J Drake, Saint Petersburg FL

Bonita J Drake, Saint Petersburg FL
Specialties:
Dermatologist
Address:
3950 3Rd St N, Saint Petersburg, FL 33703

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